Reply To: Platelet Transfusions – When to transfuse

  • Mary Lynn Rae

    Member
    July 6, 2014 at 10:24 pm

    Hi.  We do not have any guidelines and when to transfuse is MD driven (and it may be different from provider to provider).  Our lowest threshold is 10,000.  Brain tumor patients we would like to keep between 30,000-50,000.  We usually transfuse prior to an invasive procedure. 

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    Mary Lynn Rae
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States
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    Original Message:
    Sent: 07-01-2014 05:11 PM
    From: Renita Kuiper
    Subject: Platelet Transfusions – When to transfuse

    This message has been cross posted to the following Discussions: Outpatient Staff Clinic Issues and Inpatient Staff Hospital Issues .
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     We would like to survey our fellow children’s hospitals in their platelet transfusion practices.

     1. Is there evidence-based practice guidelines you utilize in deciding when to transfuse 
         platelets?
     2. What is your lowest acceptable platelet count for patients who are going for a….
         LP? 
         Bronch? 
         Surgery?
         Line Placement?
         Endoscopy?
         *Are these numbers based on evidence-based guidelines?* 
     3.  Are your standards for transfusing platelets the same for inpatient and outpatient
          patients?   

    Thank you in advance for your assistance in our project.

         
        

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    Renita Kuiper BSN, RN, CPHON
    Helen DeVos CHildren’s Hospital
    Grand Rapids, MI


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